Entity Name: | FT. MYERS WOMEN'S HEALTH CENTER, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 15 Sep 1976 (48 years ago) |
Document Number: | 515011 |
FEI/EIN Number | 591701184 |
Address: | 3677 CENTRAL AVENUE, SUITE H, FORT MYERS, FL, 33901, US |
Mail Address: | 2106 DREW STREET, 103, CLEARWATER, FL, 33765, US |
ZIP code: | 33901 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1588812945 | 2008-08-28 | 2008-08-28 | 2106 DREW ST, STE 103, CLEARWATER, FL, 337653238, US | 3900 BROADWAY, BLDG C, FORT MYERS, FL, 339018193, US | |||||||||||||||||||||||
|
Phone | +1 727-442-0445 |
Fax | 7274473797 |
Phone | +1 239-936-4497 |
Fax | 9419360161 |
Authorized person
Name | MARISELLA MARENGO |
Role | BILLING AND CONTRACT MANAGER |
Phone | 7274420445 |
Taxonomy
Taxonomy Code | 207VG0400X - Gynecology Physician |
License Number | 828 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
OWENS DEZRA | Agent | 2106 DREW ST, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
MILLER MELINDA R | Treasurer | 2106 DREW ST. #103, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
MYERS SANDRA | President | 2106 DREW ST #103, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
MYERS SANDRA | Director | 2106 DREW ST #103, CLEARWATER, FL, 33765 |
DRESDEN GARY AMD | Director | 2106 DREW ST #103, CLEARWATER, FL, 33765 |
MILLER MELINDA R | Director | 2106 DREW ST. #103, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
MILLER MELINDA R | Vice President | 2106 DREW ST. #103, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
OWENS DEZRA | Secretary | 2106 DREW ST. #103, CLEARWATER, FL, 33765 |
Name | Role | Address |
---|---|---|
DRESDEN DARA R | Asst | 2106 DREW STREET, CLEARWATER, FL, 33765 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G93103000020 | FT. MYERS WOMEN'S HEALTH CENTER | ACTIVE | 1993-04-13 | 2028-12-31 | No data | 2106 DREW STREET, SUITE 103, CLEARWATER, FL, 33765, US |
Event Type | Filed Date | Value | Description |
---|---|---|---|
AMENDMENT | 2020-09-14 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State